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HomeMy WebLinkAboutSUBMITTED PAPERSt i7 OFFICE USE ONLY: '.~ `- DATE FILED: 3 ' p y� PLAN REVIEW FEE: RECEIPT NO.: ` M o PERMIT NUMBER: �^ 11 1'/ ®0 0q CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION SCANNED 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 BY 772462-1553 �f. Lucie County j—', v2CGC. APPLICATION for BUILDING PERMIT - CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 6 /% La-S 2. PROJECT NAME: &5 �iy►� SITE PLAN NAME: 3. PROPERTY TAX ID #: 3 Y/ f - 0 (k 4. LEGAL DESCRIPTION (attach extra sheets if necessary): LQ S �! M� d-) ZOT d- / l0 -ffo 5. PLAT BOOK 1��� 6. PAGE NO. 7. BLOCK NO. S. LOT NO. d / 9. PARCEL SIZE (ACRES/SQ FT.): -a 1 Qerf-s LOTDMNSIONS: 75'k /Od, i0. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: A- 50 ,lt1 ^ 11. SETBACKS (ACTUAL) FRONT: as y BACK: 3.b RIGHT SIDE: LEFT SIDE: /3• 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) (NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 16. VALUE OF CONSTRUCTION: $ 3i DOS • I'll 15. SF. FT 1 st FLOOR: /-7 V The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 6 1 OWNER INFORMATION, /6a NAIL: r, Q• n ADDRESS: zAic a�i►�lL• CITY: 10 L / / STATE: & ' ZIP: PHONE (DAYTIME): `' '� '� ' `� Email: 0 h f06 Qi !�� f7�2 i!• OYh IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTEVIE): CONTRACTOR INFORMATION - O ARW ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME: _/7 i�l J We I2 QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTMIE): FAX NO.. Email: ARCHIT/BNGINEER: ADDRESS: CITY: PHONE (DAYTRv E): (__) BONDING COMPANY: ADDRESS: CITY. STATE: STATE: MPI MORTGAGE LENDER: /J-& I ADDRESS: CITY: STATE: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. r Planning & Development Services Permit 1 • Building & Code Regulation Division 2300 Virginia Avenue r Fort Pierce, FL 34982 i Phone: (772) 462-1553 Fax: (772) 462-1578 ` Address NRM LAS PALMAS WAY Owner(s) FRANCES GASKIN IE 34952 Historic No Jurisdiction St. Lucie County `7 Parcel # 5-000/1 S/D Las Palmas Block Lot # 21 FLU Zoning RM-5 Flood Mar 280E Flood Elevation Flood Zone X Add A New Permit — "APPLICATION INFORMATION Property Maintenance Application Type Master Permit w/subs Status Void 0509-0279 Activity Type New Expiration 09/20/2007 ® Other - Specify 501 Permit Type Building Residential (SFR) Date Applied 09/09/2005 Taken By 'serranob Location Mainland Date Issued 03/29/2006 Issued By dpelton i..... lat Fee Valuation Date Finaled Posted By Date Voided Please explain in Additional Comme. i Job Address 6417 LAS PALMAS'WAY Category Type Contractor jProperty Owner Name { Property Owner ''" Contractor Business Address Email Open Contractor . Registration Phone (772) 418-1988 ext Fax ( ) - Mobile ( ) PagerrSUB TRADE PERMITS Attach Sub Trade Sub -Trade Permit Permit Type Electrical ub Trade Status Void 0509-0279-01 Contractor 21355 FLAXMAN MICHAEL Taken By serranob i. 0509-0279-01 EP )0509-0279-02 PP Company ENERGIZED ELECTRICAL SERVICES INC Date Applied 09/09/2005 0509-0279-03 ME Phon( ( ) _ Issued 03/29/2006 "-" - --- - Owner / Buildier Issued By dpelton Expiration Finaled Sub -Trade Job Description •: 03/12/2007 Finaled By Units 1 OOi ; .. Floors M Buildings ;1; #Bedrooms F3_� #Bathrooms 2.0 Total Sq. Ft. 2,423.00 Min Flood Elevation �� Flood Map 280E Flood Zone FCC 101 Single Family Detached an NOC Required ® NOC Received ® NOC Expiration Setbacks Front 25.00 Back 36.70 Left Side 13.60 light Side 13.70 Job Description Additional Info CONSTRUCT NEW SINGLE FAMILY RESIDENCE - 312 Please include the date and your name when adding rntormarion. 6/28/2010 Renewal fee of $80.00 to final///Ken 4-16-2010 renewal fee 80.00 down to final- A Humphrey 9/18/07 courtsey call - spoke to noreen / contractor- permit to be expired on 9/20/07 . bacounsellor 2/27 CHANGE OF CONTR. FOR PLUMBING AND AC, LB Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue ' Aat�i'r,. Fort Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 Inspections f` Onlinb address: http://www.stlucieco.org/planning/permitting.htm Quick Links Permit Status Lookup Online Building Inspection System — x� _» m : tF" 0509-0279 Job Address 6417 LAS PALMAS WAY 'ermit Type .Building Residential (SFR) t , .... ...... ...._.... _..... _................... — . L1 pplication Type 'Master Permit w/subs Other Expired Activity Type New i Stories 1 Inspection Area :, -`Job Descri tion `� ONSTRUCT NEW SINGLE FAMILY RESIDENCE - 3/2 ij.Pfoperty Owner Name NGG POINT LLC Phone�- Business Name W'CTIQNS Con#Tactors »� Fees ?� Al, (q) tly °IrlspecEion Schedule Report�and ,Ca%ds ispecfio�n`-SuhlmaryrERepo Notes "1/25/07 PER CHRIS L AND RAY WAZNY AT THIS TIME WE ARE NOT ;HARING THE 100.00 30 DAY EXPIRED FEE'S UNTIL FURTHER NOTICE. `^ ^' Date Scheduled Prioritl Status i 172 Hurricane Panels (shutters) 8 a 172 Hurricane Panels (shutters) 8 Max Expiration Date 09/20/2007 Inspector (Code) Inspector Date Inspected 'li'annon �;..; Boone 03/30/2007 261 30 Day Expired 8 Pending _. 804 Driveway Bldg 8 808 Landscaping/Trees 8 �:-.,• 996 Final Termite Treatment 8 ;.< 999 Final Inspection 8 821 Solid Waste 8 a' l`nnon Boone 07/25/2006 425 Sewer Connect 0 Approved Ken Arnold 07/25/2006 07/24/2006 425 Sewer Connect 0 Disapproved Ken Arnold 07/24/2006 04/07/2006 104 Compaction Test 1 Approved Peggy Billing 04/10/2006 04/07/2006 105 Form Board Survey 1 Approved Lynn Swartzel 04/07/2006 ii.",V Z;Access 04/07/2006 420 Plumbing Rough 1 Approved Greg Smyth 04/07/2006 ,.. IVP!Access 04/07/2006 427 Temp.Toilet/Temp Culvert 1 Approved Greg Smyth 04/07/2006 ia: <f2*Access 04/13/2006 103 Eufer Ground 2 Approved Greg Smyth 04/13/2006 v'R Access 04/13/2006 115 Slab 2 Approved Greg Smyth 04/13/2006 Access 04/13/2006 121 Termite Spray 2 Not Required Greg Smyth 04/13/2006 a 1R Access 04/20/2006 118 Column 3 Approved Greg Smyth 04/20/2006 iFVRAccess 04/20/2006 128 Bond Beam 3 Approved Greg Smyth 04/20/2006 k'v!RAccess 05/11/2006 133 Window/Door Bucks 4 Approved Steve Brasda 05/11/2006 ';•� �R=Access 05/11/2006 134 Roof Sheathing 4 Approved Steve Brasda 05/11/2006 05/30/2006 136 Roof Dry-in/Tin Tab 4 Approved Shaun Milligan 05/30/2006 A 0711 Access 05/11/2006 137 Strapping 4 Approved Steve Brasda 05/11/2006 ./RAccess 05/11/2006 145 Truss Drwg 4 Approved Steve Brasda 05/11/2006 I'L` 06/09/2006 259 Power Release Form 4 Approved Karen Neal 06/09/2006 06/30/2006 127 Mullion 5 Not Required Dave Johnson 06/30/2006 06/30/2006 135 Wall Sheathing 5 Approved Dave Johnson 06/30/2006 06/30/2006 148 Window/Door Attachment 5 Approved Dave Johnson 06/30/2006 1 .,. 06/30/2006 650 Frame -all 5 Cancelled by Building DeK Peggy Billing 06/30/2006 06/30l2006 154 Bora Care Treatment (Termit 5 Approved Dave Johnson 06/30/2006 06/30/2006 140 Construction Rough Framing 5 Approved Dave Johnson 06/30/2006 06/30/2006 238 Electric Rough 5 Approved Dave Johnson 06/30/2006 06/30/2006 351 Mechanical Rough -Inducts) 5 Approved Dave Johnson 06/30/2006 06/30/2006 423 Plumbing Top Out 5 Disapproved Dave Johnson 06/30/2006 ,, 07/10/2006 423 Plumbing Top Out 5 Approved Greg Smyth 07/10/2006 Comment; project located at PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT jJ SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the i;� � � - (Street wtao or Property Tax 0 #) It is understood that N there is any change of status regarding the participation of any of the sub -contractors listedbelow, I will .immediatelyadvise the Building and Zoning Department of St. Lucie County. Name of +Company/Contractor"" '-- _ St. Lucie County/ '"-`TState of- oxi a ,— --, License Number Trade Electrical e, Plumbing ?`✓ -' ``""�" 11VAC/ Mechanicalr~ Roofing�� Gas A.v v,,VJ-17T -TTO AwTr V. PE111 ISSUE DATE: NUMBER: PLANNING & DEVELOPMENT &.,CODE MENT SERVICES DEPARTMENT J�Z PLAN_ REGULATIONS DIVISION r,—M, rz'n[_ Y. BUELDINGfKMd1T --'*COUNT AGREEMENT i SUB -CONTRACTOR F L P R I D A --- ----- ------------ -- f participation with the it 'is understood that, if 'there is any change 0 status -regarding Mg Our PaFtic­ above mentioned project, I Will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Forin: SLCCDV No. 004-00) BUSINESS ,QUALIFIER (Name of the Individual shown on the ContradDr'S LiCWW) ORIGINAL SIGNATURES ARE REQUIRED DATE Busim �ss Name: Address: T U1,Az city/statelzip: t;,. uA Phone: —:K :z email: nWrICF. TTQR ONIX: ISSUE DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT .. _ -BUILDING & CODE REGULATIONS DIVISION- - -- - - - - BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (!'r0}ect ,U4= tiQm'eSS or nopeny l UA uj -Y Xis understood that, if there. is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building.and Zoning Department of St. Lucie County by personally filing a.Change of Contractor notice. (Form: SLCCDV ISSUE DATE SIGNATURE Business Name: Address: City/State/Zip: Phone: OFFICE ITSE ONLY: PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMff SUB -CONTRACTOR AGREEMENT --St. Lucie County Contractor Certification Number: State of Florida Certification Number afapplicable): J &__ have agreed to be the (Company Name/�iiiiividual� — - - - - -- . sub -contractor for Awe of Trade) (Primary Contractor) for - (Project Street A*lresstor Property Tax ly#) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIkED PRINT NAME DATE PLANNING & DEVELOPMENT SERVICES DEPARTMENT _BUILDING &CODE'REGIULATTONS DIVISION BU"INGPERMT SUB -CONTRACTOR AGREEMENT PERMIT# - 7 i Planning & Development Services Department Building & Code Regulations Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-1553 Owner Builder Affidavit — Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Community Development Director to the Florid tate Department of Professional Regulation. Signed and acknowledged on this _ day of , 20240L• OWNER/BUILDER—SIGNATURF, STATE OF FLORID COUNTY OF !Sh . The foregoioingg instrument was acknowledged before me this _ day of , 20 by `ir' /2r-fi A I C U� C3- JQS / W , who is personally kn n to me or has produced Signature of Notary Title: Notary Public SLCPDSD Revised 7/23/2010 A. Print me of Notary Commission Number St. Lucie County Owner Builder Affidavit -Electrical Contracting as identification. AUDREYB.HUMPHREY �. r"'" COMMISSION . DD 63304 °� MY 7 EXPIRES. March 6, public Undenderr+rilers St. Lucie Count Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 (7) EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. InitialC I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost of the license. Initial _ I understand that if any person that is unlicensed and uninsured gets injured on my construction project - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure statement and that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning DepartnAnt to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20. Owner/Builder Signature STATE OF FLORI COUNTY OF The -fqr-egoing instrument was acknowledged before me this day of , 20 , by lt�/ 1 who is personally known to me, or who has produced as identification. Signature of Notary Type r Print a of ary NotOtt Seal) Title: Notary Public Commission I umber JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3547246 OR BC; 1257 GE 1517, Recorded 01/03/2011(----�03:,' �?M AFTER RECORDING -RETURN TO: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF nPROPERTY (Legal description and street address) TAX FOLIO NUMBER: crmnrvrcrnnr/etPd./MtJDrnrlrr TDAI rnm -2/ Dunn .,.,.... 2. GENERAL DESCRIPTION OF IMI 3. OWNER INFORMATION: _ _ a b. AddressCQS VAIA141 1A.12.4 , YO fT '3L IUCrf(. 'r V L2-1 I c interest in property 0 AM d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: a 5A.Pr 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: AI fl X*E 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: _ 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) , 20_ k Signature of Owner or Print Name and Provide Signatory's Title/Offlce Owner's Authorized Otrucer/Director/Partner/Manager StateFlor 1. County tyof� The (Qregoing instrument s ackn ledged before me this (( ,, 3 Yof u�ii , 20�LL�. Ryrl'Qnus 6� n as �U111¢✓ ' rr -- (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For (Name of party on behalf f whom instrument was ex t Personally Known TAMECNA r 4' I MEIWRES�12D97 4014� �pnwttarn�ua�� (Printed Name of Notary Public) (Signature of Notary Public) Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Pariner/Manager who signed above: By :�� gy_rrOnel s6UsiVi'n Rev, etgenflW(R—.r,.&) STATE OF FLORIDA ST. LIME COUNTY TH4 IS TO CERTIFY THAT THIS IS A OR by: Do CERTIFICATION: , This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. r ' a.• a� � 6 OWNER OR CONTRACTOR SIGNATURE { �q �p� STATE OF FLORIDA COUNTY OF. ` On The foregoing instrument was acknowledged before o I" me this day of 20 / i , &w ZC o$ a 1 by ,1 -m c or S k i �l CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was me this day of by who is personally known or. has produced- who is . as idea 'fication. Signature of Nota Signai of Notary dmowledged before ,20 , or has produced as identification. Commission No. (Seal) Con)6iission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. Adlik � - � ' 1 OFFICE USE ONLY V q R. - SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # IST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA RADON FEE PERMIT FEE LIBRARY ROPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BID AVACT FEE GENERAL PARKS HvJPACT FEE SCHOOL IM[PACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS H PACT DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: ! / •REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED INITIALS / �60xor. Ole p ` ,r JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3547787 OR BOOK 3257 —OXGE 2857, Recorded 01/05/2011 at 09( 4M Doc Tax: $507.50 � I � Prepared By and Return To: Thomas Melega Roberto & Associates Title Agency, Inc. 2151 East Commercial Boulevard, Suite 203 Fort Lauderdale, FL 33308 File No. 10-1173 Property Appraiser's Parcel I.D. (Folio) Number(s) 3415-504 C THIS RANTY D dated cember 2010, by NGG POINy, L.L.C., a FlbZida limited liat5ility company, w ose post office address is 3 SW 147TH AVE, MIAMI, FL 33185, hereinafter called the grantor, to F. BEVERLEY GASKIN and DAVID M. GASKIN, wife and husband, whose post office address is 6417 LAS PALMAS WAY, PORT ST LUCIE, FL 34952, hereinafter called the grantee: (Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and `the successors and assigns of corporations) WITNESSETH: That the grantor, for and in consideration of the sum of $72,500.00 and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys, and confirms unto the grantee, all the certain land situated in St. Lucie County, Florida, to wit: L 1, Las Pa na , accor ' g to the map or plqfthereof, as red r lled n Plat B ok 46 TO HA�EAND TO HOLD th sa�eiv Fee Sii AN tantor hereby cov noith said fee imthat the an r h sd rightj all pers whoms er; and tha subsequent to: December 31, 2010 werrany ed (India "madM) co �ne that he�thee awfullyseized f s id land in ulut oritnd conveyhe w' defeagainst a lawful clai of is freences, exc ing 1 \ OR BOOK 3257 PAGE 2858 WARRANTY DEED (Continued) IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first STATE OF FLORIDA Ctia OWARD I, Witn sal hand and offi he JANO liaon ha kn rap me this fo ent. My Commission Expires: (SEAL) W.,.. (Address) MIAMI, FL 33185 (Address) _ ota ublic of 5naginMem er of NGG PCG Flo id 'mi ed liabi ody 2 10 an a knowlelisy f Dece b r, 2010. My COhY,C 510K 8 DD046420 % ... XPlRCS Fc :!wry 18, 2014 (4071398-1I15:! FIWJeYWa�•Sn�•'rn.wm tyDB E(InEINCu NGuel) D L. C., a F orid limited pan [ ] pe on y ( entir" tion, rso ally e due a ecu ion f the